| NPI | 1104440866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: RI MD21258) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI MD21258) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2026-06-10 |